Individual Healthcare Provider
Brad Michael Gandolfi, M.D.
Provider's NPPES record last updated: March 20, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003131053
- Primary Specialty
- Plastic Surgery
- Practice Location
- New York, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:42 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Plastic Surgery
Allopathic & Osteopathic Physicians
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Taxonomy code 208200000X
Provider-Reported License Information
- Plastic Surgery (New York)
- 292312-1
- Plastic Surgery (New Jersey)
- 25MA10153500
- Plastic Surgery (California)
- 142117
Practice Locations
Practice Location
25 5th Ave Apt 1f
New York, New York 10003-4308
Phone: (212) 287-7211
Additional Practice Location
4 W 58th St Fl 11
New York, New York 10019-2515
Phone: (212) 355-7980
Additional Practice Location
30 N Dean St
Englewood, New Jersey 07631-2807
Phone: (212) 287-7211
Fax: (212) 287-7210
Additional Practice Location
905 5th Ave Ste 1c
New York, New York 10021-4156
Phone: (212) 287-7211
Fax: (212) 287-7210
Record Information
- Enumeration Date
- April 2, 2010
- Provider's NPPES Record Last Updated
- March 20, 2025
- Certification Date
- March 20, 2025
- NPISignal NPPES Dataset
- August 2026
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